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ee COT Coo ves om : + mamommewe COT CSCC) omen FO COC a » =» COLELLO vy womens [TTT ETE TI 2 omorem COC CDCI » sername CCEE LLL coansorvse [TTT ETT TTI TTI 10 swe CICEEEC ED) se CCCP ve mane COC ssoesineoT TLL ELLE ELLE) oven noo EE ELE EILLELE LEE FORM NO. 60 [See second proviso to rule 114B] Form of declaration to be filed by a person who does not have a permanent account number and who enters into any transaction specified in rule 114B 1. Full name and address of the declarantion 2. Particulars of transaction 3. Amount of the transaction 4, Are you assessed to tax? Yes /No 5. IFyes, (i) Details of Word/ Circle/ Range where the last return of income was filed? {i) Reasons for not having permanent account number? 6. Details of the document being produced in support of address FORM NO. 61 [See proviso to clause (a) of rule 114C(1)] Form of declaration to be filed by a person who has agricultural income and is not in receipt of any other income chargeable to income-tax in respect of transactions specified rule 114B 1.Full name and address of the declarant, 2.Particulars of transaction 3.Details of documents being produced in support of address in column (1) Yes /No | hereby declare that my source of incomes from agriculture and | am not required to pay income-tox on any other income if any. Date: Place: Signature of the declarant Verification do hereby declare that what is stated above is true to the best of my knowledge and belief. Verified today, the day of, Place: Signature of the declarant

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